Individual
TANYA MARIE CUSUMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
538 BROADHOLLOW RD, SUITE 202, MELVILLE, NY 11747-3676
(631) 385-7780
Mailing address
12 IRWIN CT, APT 2, LYNBROOK, NY 11563-2527
(516) 376-5747
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
538271111
NY
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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